Organization
NELSON FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRIN J NELSON D.M.D. (OWNER)
(623) 931-5321
Entity
Organization
Contact information
Practice address
4491 W NORTHERN AVE, GLENDALE, AZ 85301-1649
(623) 931-5321
(623) 939-5108
Mailing address
4491 W NORTHERN AVE, GLENDALE, AZ 85301-1649
(623) 931-5321
(623) 939-5108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4796
AZ
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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